| NPI | 1356639330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0998981-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 199087) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 199087) | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2024-02-23 |