NPI | 1548616758 |
---|---|
Former Name | ELIZABETH DERING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993786-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004201) |
Enumeration Date | 2016-05-05 |
Last Update Date | 2018-07-12 |