| NPI | 1871759696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO 0990395-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN49107) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2015-06-01 |