| NPI | 1710516166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0995774-NP) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041430993) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-11-17 |