| NPI | 1760542187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 125804) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CO 4737) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2024-05-13 |