| NPI | 1457013021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.1000083-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95018349) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2025-12-15 |