| NPI | 1538623574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CO APN.0994526-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1642161) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-03-06 |