NPI | 1487390779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APRN11020773) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9581694) |
Enumeration Date | 2022-05-09 |
Last Update Date | 2023-11-08 |