| NPI | 1407398167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0999628-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 201755) |
| Enumeration Date | 2016-11-12 |
| Last Update Date | 2024-06-06 |