| NPI | 1215679139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0997958-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1646941) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-08-30 |