| NPI | 1740552017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 0991517) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CO RN-201148) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2024-05-15 |