| NPI | 1023610516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1000255) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 127520) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2025-08-08 |