| NPI | 1992378962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0996538-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0996538-NP) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2024-01-03 |