| NPI | 1558907238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0104064-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5012565) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11003285) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5012565) | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2025-07-01 |