| NPI | 1417142944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CO APN.0005050-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO 93297) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2017-04-26 |