| NPI | 1689996670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 420974) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: NY F420974) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 991028) | |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2024-05-13 |