| NPI | 1528619178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0995153-NP) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: CO RN.0170867) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-11-18 |