NPI | 1023769882 |
---|---|
Former Name | LINDSEY RAE ELLIOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0997212-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0997212) |
Enumeration Date | 2022-01-13 |
Last Update Date | 2022-11-29 |