| NPI | 1497228779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0994072-NP) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO APN.0994072-NP) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2024-06-14 |