| NPI | 1205491321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO APN.0992880-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO APN.0992880-NP) |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2021-06-09 |