| NPI | 1871727586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 129544) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 5948) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO F0309276) | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2018-11-06 |