| NPI | 1356794028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0993630-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1647751) |
| 163W00000X Registered Nurse (Licence: NY 7035101) | |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2019-04-10 |