NPI | 1568832400 |
---|---|
Former Name | MELONY BEATSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993393-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172951) |
Enumeration Date | 2015-10-05 |
Last Update Date | 2019-11-21 |