NPI | 1255570412 |
---|---|
Former Name | SOFIA CRISTINA GRIFFIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0204938) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 514337) |
Enumeration Date | 2009-02-11 |
Last Update Date | 2012-10-17 |