| NPI | 1588708382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 001400) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 57698) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2014-11-13 |