| NPI | 1124351523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO APN.0004200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 89152) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2020-12-01 |