| NPI | 1801109475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.1001231-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 196062) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 1001231) | |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2026-06-03 |