NPI | 1376059980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CO APN.0995994-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95006399) |
Enumeration Date | 2017-12-19 |
Last Update Date | 2021-08-14 |