| NPI | 1225154529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0996697-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM R42099) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2021-11-09 |