| NPI | 1104069566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO APN.0004599-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 120357) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2018-10-17 |