| NPI | 1831161983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CO APN.0005766-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0005766-NP) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2018-08-13 |