NPI | 1942320452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0990947-NP) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 74264) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN100797NP) | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2021-06-16 |