| NPI | 1386048635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0996654-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0196261) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2021-07-16 |