| NPI | 1205353000 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0993246-NP)  | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0993246-NP)  | 
| Enumeration Date | 2017-08-23 | 
| Last Update Date | 2020-12-31 |