| NPI | 1487189981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO APN.0993289-NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CO RN.0177836) |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2018-03-05 |