| NPI | 1063374627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO F09251457) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1001512-NP) |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2026-08-11 |