| NPI | 1124790449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-APN.0106724-C-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5015161) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024187431) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC BARN-BK5PT) | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2026-07-08 |