| NPI | 1427102052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CO 73505) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 73505) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 73505) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2010-08-09 |