| NPI | 1619100500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO 10110) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 191887) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |