| NPI | 1942691365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0993501-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1620923) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1020832) | |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2024-04-11 |