| NPI | 1235305061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0999635-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024164854) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2026-04-29 |