NPI | 1093181406 |
---|---|
Former Name | CAREY KOLVOORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN002009) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV APRN002009) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NV APRN002009) | |
Enumeration Date | 2015-08-19 |
Last Update Date | 2015-08-19 |