| NPI | 1649937434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0997137) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1678401) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0106162) | |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |