| NPI | 1710357462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0992003) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 0992003) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992003-NP) | |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2021-08-25 |