| NPI | 1457690232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0994945-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009311) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 183683) | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2023-12-21 |