| NPI | 1063827442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0991308) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WY 51866) |
| 367A00000X Advanced Practice Midwife (Licence: CO APN.0991230-CNM) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2023-08-31 |