| NPI | 1457699498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0991635) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1631449) |
| 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: MT NUR-RN-LIC-67646) | |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2017-12-05 |