| NPI | 1407492531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0104832-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1629567) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0995157) | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2023-08-01 |