NPI | 1043744360 |
---|---|
Former Name | TAYLER RENE KORUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0993011-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993011-NP) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0993011-NP) | |
Enumeration Date | 2017-04-13 |
Last Update Date | 2024-04-18 |