| NPI | 1467056218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO APN.0995850) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO 0995850) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |