| NPI | 1881738680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CO 961) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 69699) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2011-04-08 |