| NPI | 1295789543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CO 4150) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO RN 124319) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2018-10-08 |