| NPI | 1437774288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0995604-NP) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: MI 4704299761) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2021-03-16 |