NPI | 1912240078 |
---|---|
Former Name | ELIZABETH CLAIRE THREET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO C-APN.0000877-C-NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-APN.0000877-C-NP) |
Enumeration Date | 2013-03-27 |
Last Update Date | 2021-10-19 |