| NPI | 1932584042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO APN.0992634-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0992634-NP) |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2023-03-03 |