| NPI | 1801504584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0999720-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RXN.0108786-NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024185719) | |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2024-08-01 |