| NPI | 1154968659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0996871) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR 14358) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1053504) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 11543) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209023909) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 286619) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA GAA-NP000323) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 3-001134) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AK 21409) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95023236) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC 500007545) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL TPAN1435) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383377) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 33096) | |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2025-07-22 |