| NPI | 1730564535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO APN.0992864-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1643665) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: WY 50913) | |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2022-11-29 |