| NPI | 1669512539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CO APN.0992574-CNS) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704217121) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2016-10-19 |