| NPI | 1487743332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-APN.0004362-C-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 200550172NP) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: ND R39460) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-08-29 |