| NPI | 1821101973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0993903-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1655161) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2026-04-08 |