NPI | 1902101801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0996678-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 197514) |
Enumeration Date | 2011-01-24 |
Last Update Date | 2021-08-20 |