| NPI | 1871136994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0995025-NP) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner Occupational Health (Licence: CO 0995025) |
| 225000000X Orthotic Fitter (Licence: CO APN.0995025-NP) | |
| 261QP2300X Clinic/Center Primary Care | |
| 163WP0000X Registered Nurse Pain Management (Licence: CO APN.0995025-NP) | |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2021-03-04 |