| NPI | 1801109475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 196062) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 1001231) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2025-09-25 |