| NPI | 1982889002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: AZ RN150982/AP2937) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP2937) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO NP-990284) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2011-12-21 |