| NPI | 1780156885 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0999323-NP)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0999323-NP)  | 
| 163WG0000X Registered Nurse, General Practice (Licence: CO RN.1651711)  | |
| Enumeration Date | 2018-12-30 | 
| Last Update Date | 2024-01-31 |