| NPI | 1689812612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0010096-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 6623899) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CO RN.0191197) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO RXN.0001142-NP) | |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2016-08-05 |