| NPI | 1316742760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 83157) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: CO RN.0182083) |
| 207Q00000X Family Medicine (Licence: CO APN.1000499-NP) | |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: CO APN.1000499-NP) | |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-05-21 |