| NPI | 1174931349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0991344-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0991344-NP) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2018-10-17 |