NPI | 1225025901 |
---|---|
Former Name | KRISTA MARLENE PATTERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0992107-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-001956) |
363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992107) | |
Enumeration Date | 2005-09-29 |
Last Update Date | 2024-09-26 |