| NPI | 1275134959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0995941) |
| Additional Taxonomies | 163WP0000X Registered Nurse Pain Management (Licence: CO APN.0995941) |
| 225000000X Orthotic Fitter (Licence: CO APN.0995941) | |
| 363L00000X Nurse Practitioner (Licence: CO APN.0995941) | |
| Enumeration Date | 2020-11-08 |
| Last Update Date | 2022-07-11 |