| NPI | 1518409994 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992627-NP)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019724)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: CO RN.1642862)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 354905)  | |
| Enumeration Date | 2016-11-16 | 
| Last Update Date | 2025-07-07 |