| NPI | 1942586698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0990492-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0990492) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2018-10-17 |