NPI | 1750442323 |
---|---|
Former Name | CARLA M ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0994429-NP) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CO APN.0992283-CNS) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2023-09-04 |