| NPI | 1497991491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 93938) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ZZ 8836751) |
| 163W00000X Registered Nurse (Licence: ZZ 0952276) | |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2016-06-03 |