| NPI | 1851990832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO 363LP0200X) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95015310) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP61457920) | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2023-08-07 |