| NPI | 1689890303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 108256) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 108256) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 7047) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-06-24 |