| NPI | 1649220823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 118186) |
| Additional Taxonomies | 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: CO 019787001) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |