NPI | 1073067369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CO APN.0992692-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1642683) |
363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0992692) | |
Enumeration Date | 2016-08-04 |
Last Update Date | 2018-10-20 |