| NPI | 1508085580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LS0200X Nurse Practitioner School (Licence: CO APN.0000372) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 107156) |
| 363L00000X Nurse Practitioner (Licence: CO 107156) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2017-11-30 |