| NPI | 1366189581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0997568-NP) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO APN.0997568-NP) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-08-29 |