| NPI | 1255986741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN0994914-NP) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: CO APN.0994914-NP) |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: OH APRN.CNP.024577) | |
| 225000000X Orthotic Fitter (Licence: CO APN.0994914-NP) | |
| 363L00000X Nurse Practitioner (Licence: CO APN.0994914-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994914-NP) | |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2022-03-17 |