| NPI | 1528712353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0997348-NP) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 1627062) |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2022-09-19 |