| NPI | 1851352967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 45299) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM R25168) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2008-02-26 |