NPI | 1518852490 |
---|---|
Former Name | TIFFANY BAKARICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CO APN.1000876-NP) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CO RN.1646301) |
363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.1000876-NP) | |
Enumeration Date | 2025-06-11 |
Last Update Date | 2025-08-07 |