| NPI | 1366098790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO RN.0188878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0188878) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-15 |