| NPI | 1184163651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN0993892-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0993892-NP) |
| 163W00000X Registered Nurse (Licence: NY 716902-1) | |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2018-12-27 |