| NPI | 1154956530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0997934-NP) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: CO 1657498) |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2022-11-04 |