| NPI | 1245088020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.1000529-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1643695) |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2025-04-17 |