| NPI | 1497206510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0993284-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN0172411) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2023-06-02 |