| NPI | 1821518861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0992956-NP) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: CO APN.0992956-NP) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: CO APN.0992956-NP) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-10-11 |