| NPI | 1396990164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992320-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 579092) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 2022011328) | |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2022-06-03 |