| NPI | 1891360558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO C-APN.0002923-C-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO C-RXN.0001430-C-NP) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-07-15 |