NPI | 1346250172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 12690283) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO 166724) |
Enumeration Date | 2006-08-08 |
Last Update Date | 2019-10-22 |