| NPI | 1518210228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0991032-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0109890) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2019-09-27 |