| NPI | 1316074347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO 2967) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 124083) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2012-05-21 |