| NPI | 1730470055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0999400-NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TN RN0000172804) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2024-03-06 |