| NPI | 1053856740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CO Apn.0992782-np) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO Rn.1644301) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |