| NPI | 1053951566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-APN.0003236-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 26875) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 26875) | |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2021-10-07 |