| NPI | 1427470590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0990932) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: CO APN.0990932-NP) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2022-10-11 |