NPI | 1376887216 |
---|---|
Former Name | AIMEE LYNN SHUMARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0992716-NP) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CO 0992716) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 22629) | |
Enumeration Date | 2012-11-15 |
Last Update Date | 2022-01-09 |