| NPI | 1871562603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-RXN.0001927-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5156) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0003731-C-NP) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2022-11-17 |