NPI | 1326346701 |
---|---|
Former Name | JESSICA KAY ROLF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0991516-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 1630286) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CO RN 1630286) | |
Enumeration Date | 2011-03-08 |
Last Update Date | 2018-10-17 |