| NPI | 1982958203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0000306) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-ANP.0000306-C-NP) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2025-08-15 |