| NPI | 1548136260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1001253-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1636257) |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-12-01 |