| NPI | 1710086285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0005020-NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 163911) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CO RXN.0009015.NP) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2019-12-12 |