NPI | 1558621805 |
---|---|
Former Name | KALEY FORNELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0002416-C-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO C-RXN.0001087-C-NP) |
163W00000X Registered Nurse (Licence: CO RN-204924) | |
163W00000X Registered Nurse (Licence: IN 28186184A) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0990416) | |
Enumeration Date | 2012-05-21 |
Last Update Date | 2022-10-12 |