NPI | 1184407694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0999038-NP) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CO RN.0172859) |
Enumeration Date | 2023-08-17 |
Last Update Date | 2023-08-18 |