| NPI | 1184407694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO APN.0999038-NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: CO RN.0172859) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-18 |