| NPI | 1730942467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0999537) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CO RN.1673015) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0108619-NP) | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-03-28 |