| NPI | 1457562704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0005196NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 176567) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 600379) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2024-06-11 |