| NPI | 1265324743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN1001305-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN1663206) |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2026-01-17 |