| NPI | 1649770447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ARNP9313661) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9313661) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-APN.0002754-C-NP) | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2021-12-03 |