| NPI | 1821054016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0005060-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 176711) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2018-10-17 |