NPI | 1669493383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/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 |