| NPI | 1457327686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO RN.0104886) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R1647831) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2021-03-08 |