| NPI | 1295187128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-APN.0000939-C-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP131101) |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2018-04-18 |