| NPI | 1407491202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0995158) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995158-NP) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2024-09-11 |