NPI | 1265967574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0998612-NP) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 95006474) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MA RN2332108) | |
Enumeration Date | 2017-04-24 |
Last Update Date | 2023-06-06 |