| NPI | 1558099945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0997766) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CO RN.1642749) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997766) | |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-12-12 |