| NPI | 1215207030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 163812) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CO 163812) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2016-12-09 |