| NPI | 1063714368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-APN.0000285-C-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0127282) |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2015-08-11 |