| NPI | 1699282558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: ID 60626) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO APN.0993432-NP) |
| Enumeration Date | 2018-01-01 |
| Last Update Date | 2023-02-08 |