| NPI | 1730069162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.1001345-NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CO RN.1675434) |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-12-02 |