| NPI | 1306374202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CO APN.0993047-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO APN0993047-NP) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2023-05-01 |