| NPI | 1982584447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.1001342-NP) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 2025047340) |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-11-03 |