| NPI | 1417584897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO C-APN.0001928-C-NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM 58949) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-11-25 |