| NPI | 1346905874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WY 48730) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WY CS04520) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO C-APN.0003391-C-CNM) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO C-RXN.0001685-C-CNM) | |
| Enumeration Date | 2021-10-31 |
| Last Update Date | 2023-02-14 |