| NPI | 1891864781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992249-NP) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO APN.0992249-NP) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2026-04-08 |