| NPI | 1962954172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0002728-C-NP) |
| Additional Taxonomies | 225000000X Orthotic Fitter (Licence: CO APN.0002728-C-NP) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: CO APN.0002728-C-NP) | |
| 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: TX AP132473) | |
| 363LF0000X Nurse Practitioner Family (Licence: CO APN.0002728-C-NP) | |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2021-05-24 |