| NPI | 1972557395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0992013-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-263897) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209-005902) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2016-02-04 |