| NPI | 1528524592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0997534-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2011021068) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2023-03-20 |