NPI | 1952989204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0996504-NP) |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CO 187352) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 187352) | |
Enumeration Date | 2021-03-30 |
Last Update Date | 2024-08-08 |