NPI | 1700124617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0996360-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0174417) |
Enumeration Date | 2013-01-28 |
Last Update Date | 2024-07-24 |