| NPI | 1487143061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0993970-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1616942) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-07-12 |