| NPI | 1053668442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO NP 990281) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 197933) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NM 63594) | |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2023-03-27 |