| NPI | 1093804023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 125873) |
| Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: CO 125873) |
| 364SX0204X Clinical Nurse Specialist, Oncology, Pediatrics (Licence: CO 125873) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-06-15 |