| NPI | 1467441709 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO C-APN.0003167-C-NP)  | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM RN14892)  | 
| Enumeration Date | 2005-10-19 | 
| Last Update Date | 2021-09-10 |