| NPI | 1609277490 |
|---|---|
| Former Name | CAROLINE COLGROVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017004980) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005165A) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2023-12-07 |