| NPI | 1124712245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CO 0995878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1645723) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0995878) | |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-09-26 |