| NPI | 1851674790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-APN.0001381-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120776) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP120776) | |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2019-05-23 |