| NPI | 1841736709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0002606) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0992388) |
| 363L00000X Nurse Practitioner (Licence: FL APRN9488635) | |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2021-03-05 |