| NPI | 1497403968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0997077-NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO RXN.0106106-NP) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-07-13 |