| NPI | 1043768252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 0993619) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 2057) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: HI 2057) | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2018-03-21 |