| NPI | 1649042888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO RXN.0109955-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0120448) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2025-09-29 |