| NPI | 1407379399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993049-NP) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: CO 0993049) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 0993049) | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-10-11 |