| NPI | 1851007900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0100395-C-NP) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CO C-RXN.0100266-C-NP) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2024-08-01 |