| NPI | 1487199238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO APN.0997436) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP60719056) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2022-08-08 |