| NPI | 1811141997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0993784) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 188119) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-11-16 |
| Last Update Date | 2018-03-28 |