| NPI | 1821649120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0998447-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1659895) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2023-02-28 |