| NPI | 1750451670 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0005975-NP) | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0005975-NP) | 
| Enumeration Date | 2006-11-08 | 
| Last Update Date | 2025-10-22 |