| NPI | 1255341020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 5800) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 94984) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 5800) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2022-10-14 |