| NPI | 1144525957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO APN.0991704-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MO 2010041911) |
| 363L00000X Nurse Practitioner (Licence: MO 2010041911) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: CO C-APN.0000024-C-NP) | |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2016-07-18 |