| NPI | 1578963831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO APN.0997921-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1622616) |
| Enumeration Date | 2014-08-23 |
| Last Update Date | 2023-04-27 |