| NPI | 1144703968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0996500-NP) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CO 0203988) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2023-07-18 |