| NPI | 1245209295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0000894-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0000894-NP) |
| 163W00000X Registered Nurse (Licence: CO RN.0086500) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2016-05-10 |