NPI | 1891214920 |
---|---|
Former Name | HEATHER PUPAVAC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0995209-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R205695) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0995209-NP) | |
Enumeration Date | 2017-09-09 |
Last Update Date | 2024-03-15 |