| NPI | 1770128092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN-0995170-NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 1664627) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN-0995170-NP) | |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2023-04-20 |