| NPI | 1720761414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM 79376) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO C-APN.0101090-C-NP) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2025-01-16 |