| NPI | 1104780162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WF0300X Registered Nurse, Flight (Licence: CO 1670579) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1001539-NP) |
| Enumeration Date | 2025-12-15 |
| Last Update Date | 2026-05-31 |