NPI | 1205236551 |
---|---|
Former Name | BOBBIE LEANNA REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO C-APN.0001260-C-NP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A004184) |
Enumeration Date | 2014-08-23 |
Last Update Date | 2020-11-30 |