| NPI | 1518344167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0991743-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0991743-NP) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2026-06-15 |