| NPI | 1952657298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0995742-CNM) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: CO 205658) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995742-CNM) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2021-08-23 |