| NPI | 1558956326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0110773-NP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: RI RN64160) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2026-07-10 |