| NPI | 1497525588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 1000407) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 145220) |
| 163W00000X Registered Nurse (Licence: CO 1700482) | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-12-20 |