| NPI | 1285979385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO C-APN.0004019-C-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: KY 3007797) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2022-07-27 |