| NPI | 1467020644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 0996570) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0996570-NP) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2026-06-12 |