| NPI | 1316901390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 990110) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CO 170012) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2025-07-21 |