| NPI | 1518421304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 87925) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: ND R52368) |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2022-07-22 |