| NPI | 1992208581 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN002909) | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0993742) | 
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NV APRN002909) | |
| Enumeration Date | 2018-03-09 | 
| Last Update Date | 2022-09-02 |