| NPI | 1649993882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CO APN.1000687-NP) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: OK 202526) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: CO APN.1000687) | |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2025-07-22 |