NPI | 1770077034 |
---|---|
Former Name | MARY CATHERINE RICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0995824-NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC pending) |
363LG0600X Nurse Practitioner, Gerontology (Licence: NC Pending) | |
Enumeration Date | 2018-06-20 |
Last Update Date | 2020-10-02 |