NPI | 1497728539 |
---|---|
Former Name | RONDA KAY BOSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0004303-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 582404) |
Enumeration Date | 2006-02-09 |
Last Update Date | 2024-09-27 |