| NPI | 1265010599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CO APN.0996649-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0202511) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-07-14 |