| NPI | 1558112573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0999904-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1617623) |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-09-17 |