NPI | 1679839104 |
---|---|
Former Name | RENATA WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0102757-C-NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 054550-23) |
Enumeration Date | 2012-04-10 |
Last Update Date | 2024-08-15 |