| NPI | 1700536885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.1000418-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.024898) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2025-01-30 |