| NPI | 1255977369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.09972225-NO) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11004633) |
| Enumeration Date | 2019-11-24 |
| Last Update Date | 2025-09-22 |