| NPI | 1972077915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0996490-NP) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: VA 001284642) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024177271) | |
| Enumeration Date | 2019-01-13 |
| Last Update Date | 2024-11-04 |