| NPI | 1972210755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0998247-NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CO 1682397) |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2023-02-02 |