| NPI | 1255461018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0002405-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 64257) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2023-01-26 |