NPI | 1578838991 |
---|---|
Former Name | EMILY M MASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CO APN.0992175-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO apn.0992175-np) |
Enumeration Date | 2012-03-19 |
Last Update Date | 2021-10-20 |