| NPI | 1750339974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.099733-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 363L00000X) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-03-17 |