| NPI | 1346223898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO ENG104260252) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0001133-NP) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2018-03-09 |