NPI | 1306239421 |
---|---|
Former Name | SHARON KORNBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0999454) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN138355) |
163W00000X Registered Nurse (Licence: CO RN.1631874) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0108518) | |
Enumeration Date | 2015-03-13 |
Last Update Date | 2024-01-28 |