| NPI | 1265077960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CO APN.0995040-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO 0995040) |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2023-06-06 |