| NPI | 1912037854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0003971-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0110399) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: VA L-12302) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO RXN.0004079-NP) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2022-01-07 |