| NPI | 1871918045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0992220) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 75068) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 111634) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 99220) | |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2019-10-30 |