| NPI | 1124117122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN.1643701) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO APN.0992751-NP) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2019-11-07 |