NPI | 1073212221 |
---|---|
Former Name | ALIVIA ROSE WOLFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO ANP.0999512-NP) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CO RN.1646136) |
Enumeration Date | 2023-02-27 |
Last Update Date | 2024-08-06 |