| NPI | 1770745390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-APN.0000430-C-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 750146) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2016-07-12 |