| NPI | 1689902793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0997390) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 184142) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2022-04-05 |