| NPI | 1003354390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0003601-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 282432) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2025-03-14 |