| NPI | 1104125327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO 3582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 110682) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2013-10-25 |