NPI | 1669776977 |
---|---|
Former Name | SARA ELIZABETH COLMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005030) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5005030) |
Enumeration Date | 2010-12-29 |
Last Update Date | 2021-03-26 |