| NPI | 1063753481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0990995-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657568-1) |
| 163W00000X Registered Nurse (Licence: CO RN.1622438) | |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2015-01-26 |