| NPI | 1821227398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0990309) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-01495) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0990309) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2023-02-24 |