| NPI | 1912387853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CO C-APN.0000803-C-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000020003) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2018-11-19 |