| NPI | 1164764858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CO APN.0991906-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1619813) |
| 163W00000X Registered Nurse (Licence: KY 1121297) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2016-02-05 |