| NPI | 1659928562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0995055-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN1634461) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2023-12-21 |