| NPI | 1760889349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0001485-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0094134) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2015-01-06 |