NPI | 1619418464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0995035-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995035-NP) |
Enumeration Date | 2017-03-13 |
Last Update Date | 2021-03-24 |