| NPI | 1720490816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0991285-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0126084) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2025-08-27 |