| NPI | 1790897072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO APN.0000046-NP) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO 51603) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0000046-NP) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-09-10 |