| NPI | 1447587415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO 10125) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 169056) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2016-02-11 |