| NPI | 1891169835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0992079-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO RXN.0102166-NP) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2016-10-04 |