| NPI | 1467132654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0998940-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1624024) |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-07-21 |