| NPI | 1972264703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.1001103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0203149) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11017904) | |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2025-10-10 |