NPI | 1134545213 |
---|---|
Former Name | CARYANNE EILEEN ROBERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CO APN.0991098-NP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: CO APN.0991098-NP) |
Enumeration Date | 2014-03-12 |
Last Update Date | 2018-10-15 |