| NPI | 1073116125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO APN.0995908) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1667433) |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |