| NPI | 1457690232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0994945-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO 183683) |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3009311) | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2025-06-19 |