NPI | 1891048450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0995670-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 646762) |
163W00000X Registered Nurse (Licence: CO RN.1669166) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382368) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: WY 50864) | |
Enumeration Date | 2012-10-19 |
Last Update Date | 2022-11-04 |