| NPI | 1205381589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 0992466) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NM CNP-03045) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CO 0992466) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CO 0992466) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NM CNP-03045) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2025-07-10 |