| NPI | 1942932322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0997812-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0172835) |
| 225000000X Orthotic Fitter (Licence: CO 0997812) | |
| Enumeration Date | 2022-06-25 |
| Last Update Date | 2022-11-22 |