| NPI | 1336784701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0997603-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 689334) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421370) | |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2022-10-28 |