| NPI | 1093477200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 0996743-NP) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CO 0996743-NP) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |