| NPI | 1649823170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CO CNM03900) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO CNM03900) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO CNM03900) | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2021-12-13 |