| NPI | 1629797980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997969-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0997969-NP) |
| 163W00000X Registered Nurse (Licence: CO RN.1670546) | |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2023-01-31 |