NPI | 1235603242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CO APN.0994496-NP) |
Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: CO RN.0186756) |
363LW0102X Nurse Practitioner Women's Health (Licence: GA RN319881) | |
Enumeration Date | 2019-01-14 |
Last Update Date | 2024-07-24 |