| NPI | 1205563509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0997908-NP) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: CO APN.0997908-NP) |
| 363LF0000X Nurse Practitioner Family (Licence: CO F08220010) | |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2023-06-30 |