| NPI | 1902873631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CO APN.0004165-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 122012) |
| 363L00000X Nurse Practitioner (Licence: CO 4165) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2021-12-16 |