NPI | 1861770505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0991056-NP) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CO RN-181234) |
Enumeration Date | 2011-07-29 |
Last Update Date | 2021-04-30 |