| NPI | 1962021584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO APN.0995636-NP) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: CO 1620738) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-07-01 |