| NPI | 1811327901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM CNP 02386) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN150078) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN 0990961-NP) | |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2022-03-25 |