| NPI | 1598459364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO APN.0999438-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0198318) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-04-02 |