| NPI | 1821005315 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: CO APN.0003248-NP) | 
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: CO APN.0003248-NP) | 
| Enumeration Date | 2006-08-01 | 
| Last Update Date | 2024-12-19 |