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 |