| NPI | 1972950020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0993017-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0181932) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2017-05-12 |