| NPI | 1720463953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN0991862) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0991862-NP) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CO 0991862) | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2024-01-19 |