| NPI | 1174083984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO C-APN.0107763-C-NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95011447) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2026-09-10 |