NPI | 1588113971 |
---|---|
Former Name | COREE NANGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992560) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0197965) |
Enumeration Date | 2016-09-26 |
Last Update Date | 2018-01-02 |