| NPI | 1902671415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.1000566-NP) |
| Additional Taxonomies | 163WC1600X Registered Nurse Continuing Education/Staff Development (Licence: CO 1679468) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2025-04-09 |