| NPI | 1265249254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CO 1001338-NP) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: CO 0098373) |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2025-11-06 |