| NPI | 1366036675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0996344-NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CO 1646160) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-04-05 |