| NPI | 1811001639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0003244-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 126678) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-11-08 |