NPI | 1164480281 |
---|---|
Former Name | SHEILA CHRISTENSON KUPERSMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991742) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 937) |
363LF0000X Nurse Practitioner, Family (Licence: CO APN0991742-NP) | |
Enumeration Date | 2006-05-01 |
Last Update Date | 2025-08-11 |