NPI | 1316212566 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0995407-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995407-NP) |
363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01912) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-01912) | |
Enumeration Date | 2012-03-20 |
Last Update Date | 2022-09-08 |