| NPI | 1508973074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0004136-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0127666) |
| 363L00000X Nurse Practitioner (Licence: CO RXN.0006301-NP) | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2019-01-16 |