| NPI | 1508263344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0997629-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1624048) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2022-09-16 |