| NPI | 1487362240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 1000637) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-183797) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2025-07-09 |