| NPI | 1164548483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 78142) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO DAV1-0430-4965) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2019-12-05 |