| NPI | 1093768665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CO APN.0002416-NP) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CO 2416) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: CO APN.0002416-NP) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2022-02-10 |