| NPI | 1396478947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997839-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1683958) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997839-NP) | |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2023-10-12 |