| NPI | 1316940448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0990385-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9209322) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO NP990385) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-07-27 |