| NPI | 1538474309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0639) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 725010) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2019-08-14 |