| NPI | 1922476092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0991926-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0204294) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |