| NPI | 1457083040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997702-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0997702-NP) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2023-10-20 |