| 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 |