| NPI | 1427872092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0110080-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO .1668560) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.101113-NP) | |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2025-10-28 |