| NPI | 1144369323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO APN.0003800-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0120996) |
| 363L00000X Nurse Practitioner (Licence: CO RXN.0004020-NP) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2019-02-11 |