| NPI | 1407496417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CO APN0995271) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CO 1644044) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-04-13 |