NPI | 1659567584 |
---|---|
Former Name | JENNIFER LYNN ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0005727-NP) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CO APN.0005727-NP) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2015-02-20 |