| NPI | 1033235643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 682) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 89855) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2021-04-30 |