| NPI | 1659748747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0001747-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 6568) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2026-03-28 |