NPI | 1457010274 |
---|---|
Former Name | RONDA GAIL HUMISTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997214-NP) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO APN.0997214-NP) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0997214-NP) | |
207Q00000X Family Medicine (Licence: CO RN.0107385) | |
Enumeration Date | 2021-12-08 |
Last Update Date | 2023-10-27 |