| NPI | 1841629888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN0995448-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0086998) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2020-04-16 |