NPI | 1437135407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 1532) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO RN 86490) |
Enumeration Date | 2005-12-21 |
Last Update Date | 2014-03-04 |