| NPI | 1376870824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 5465) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 167912) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2022-10-07 |