NPI | 1689812612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0010096-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 6623899) |
163WP0200X Registered Nurse, Pediatrics (Licence: CO RN.0191197) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CO RXN.0001142-NP) | |
Enumeration Date | 2009-01-29 |
Last Update Date | 2016-08-05 |