| NPI | 1194371203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0998719-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95012427) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2025-02-04 |