| NPI | 1093397085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 8518) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0998242-NP) |
| 163W00000X Registered Nurse (Licence: MN 2086909) | |
| 363L00000X Nurse Practitioner (Licence: CO APN.0998242-NP) | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2023-03-28 |