| NPI | 1770036154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0994559) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CO 70602) |
| 163WC0400X Registered Nurse, Case Management (Licence: CO 70602) | |
| 163W00000X Registered Nurse (Licence: CO 70602) | |
| 163WG0000X Registered Nurse, General Practice (Licence: CO 70602) | |
| 163WN1003X Registered Nurse, Nutrition Support (Licence: CO 70602) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2019-03-25 |