| 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 |