NPI | 1881173953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CO APN.0994070-NP) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0994070-NP) |
Enumeration Date | 2018-08-09 |
Last Update Date | 2024-06-25 |