NPI | 1336741511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO apn.0997071-np) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO RN.1646089) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0106126-NP) | |
Enumeration Date | 2020-11-12 |
Last Update Date | 2022-11-11 |