| NPI | 1669493383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0004490-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 106292) |
| 363LF0000X Nurse Practitioner Family (Licence: CO APN.0004490-NP) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-03-26 |