| NPI | 1154193191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APRN.0999182-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1641888) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |