| NPI | 1073065165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CO APN.0991988-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0991988-NP) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2020-04-22 |