| NPI | 1659603082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO 82542) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM CNP-02375) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2021-02-12 |