| NPI | 1619393956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0991236-NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IA 115968) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2019-12-20 |