| NPI | 1144690439 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO APN.0992643-NP)  | 
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CO RN.1642174)  | 
| Enumeration Date | 2015-09-30 | 
| Last Update Date | 2025-03-31 |