| NPI | 1740884600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CO C-APN.0100426-C-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024180138) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: VA 5015715) | |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2023-07-10 |