| NPI | 1083870950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 177928) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 0992060-NP) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2017-07-07 |