NPI | 1871986414 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO apn0991369np) |
Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: IL 041372723) |
364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CO 1628301) | |
Enumeration Date | 2015-03-06 |
Last Update Date | 2019-09-23 |