| NPI | 1831647437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0995925-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010701) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995925-NP) | |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2023-11-01 |