| NPI | 1558327791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0990915-NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NV APRN002483) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 5674257-4405) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NM CNP-02336) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WY 36596.1462) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-11-25 |