NPI | 1407697105 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.1000580-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1665211) |
Enumeration Date | 2024-06-05 |
Last Update Date | 2025-03-07 |