| NPI | 1043569304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0990453-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 189817) |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2015-11-12 |