| NPI | 1053470765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0990301-NP) |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy (Licence: CO 0990301) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 0990301) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO SNP 100038) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2024-09-10 |