| NPI | 1962268607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 1000567) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1655261) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2025-02-19 |