| NPI | 1902351356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0992572-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1640413) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2021-09-14 |