| NPI | 1558990473 |
|---|---|
| Former Name | MIRANDA RAE BISHOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0995578-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0995578-NP) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-08-28 |