NPI | 1255596870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO 79415) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 79415) |
Enumeration Date | 2008-07-23 |
Last Update Date | 2008-07-23 |