NPI | 1972077915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-APN.0002556-C-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024177271) |
163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: VA 001284642) | |
Enumeration Date | 2019-01-13 |
Last Update Date | 2022-03-29 |