| NPI | 1902854045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 4679) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CO 4678) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 172076) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2011-12-28 |