| NPI | 1811510944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0995356-NP) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: CO APN.0995356-NP) |
| Enumeration Date | 2020-05-23 |
| Last Update Date | 2022-10-11 |