| NPI | 1629429535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO 0993072-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1647073) |
| 163W00000X Registered Nurse (Licence: NY 7014741) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95013896) | |
| 163W00000X Registered Nurse (Licence: CA 95110404) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2023-02-18 |