| NPI | 1952493652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0990295-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 990295) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2019-12-12 |