| NPI | 1043251515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO 90626) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO NP-792) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2011-05-24 |