| NPI | 1316532062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0996631) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: CO 102987) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-07-27 |