| NPI | 1568962850 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0993866-NP)  | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0933866-NP)  | 
| 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: CO 160744)  | |
| Enumeration Date | 2018-02-14 | 
| Last Update Date | 2018-04-27 |