NPI | 1164291423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-APN.0101512-C-NP) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CO C-APN.0101512-C-NP) |
Enumeration Date | 2023-12-28 |
Last Update Date | 2024-09-04 |