| NPI | 1689240624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO APN.0996659-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.165512) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2023-06-06 |