| NPI | 1316174220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024168295) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-RXN.0101300-C-NP) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2018-09-11 |