| NPI | 1639479033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0991612-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 189769) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2021-06-13 |