| NPI | 1730732249 |
|---|---|
| Former Name | CALLIE SHAREE RANGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142198) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0996888-NP) |
| 363L00000X Nurse Practitioner (Licence: CO RXN.0105913-NP) | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2021-11-18 |