| NPI | 1629312905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0991920-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209010020) |
| 163W00000X Registered Nurse (Licence: CO RN.1634673) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2019-02-11 |