NPI | 1104318906 |
---|---|
Former Name | TARA KRISTEN MCLERNON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993945-NP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0993945-NP) |
Enumeration Date | 2018-06-06 |
Last Update Date | 2019-09-12 |