| NPI | 1689438582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 1000900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1619603) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 1000900) | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2025-06-23 |