| NPI | 1750485140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0991814-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1611032) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2018-10-17 |