| NPI | 1124634795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0995854-NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM 65922) |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2022-01-20 |