| NPI | 1336687060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0104125.NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1639070) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2020-04-15 |