NPI | 1881997252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0001581-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 68405) |
Enumeration Date | 2010-12-07 |
Last Update Date | 2018-10-17 |