| NPI | 1679062855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997328-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1635805) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2026-01-16 |