NPI | 1871034330 |
---|---|
Former Name | BRITTANY LEIGH RAYMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0992888-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0992888-NP) |
Enumeration Date | 2017-03-17 |
Last Update Date | 2019-07-26 |