| NPI | 1861761207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0993439-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 708000) |
| 163W00000X Registered Nurse (Licence: CO RN.1650946) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 21009) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 21009) | |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2018-05-22 |