| NPI | 1386943454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-RXN.0000244-C-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R187356) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0000653-C-NP) | |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2023-06-30 |