| NPI | 1528195575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO APN.0001574-NP) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 95949) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2016-07-11 |