NPI | 1114056496 |
---|---|
Former Name | KRISTIN AFFOLTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0990013-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0196684) |
163W00000X Registered Nurse (Licence: CO 0990013) | |
Enumeration Date | 2007-03-05 |
Last Update Date | 2016-08-25 |