| NPI | 1295088409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO 0990476-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0199447) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2023-08-10 |