| NPI | 1336489053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0992437) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AL 1-121898) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-121898) | |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2022-09-23 |