| NPI | 1760768311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO 990207) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 990207) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2013-09-18 |