NPI | 1922066844 |
---|---|
Former Name | CHRISTA MARIA MCCANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 4759) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A01934) |
363L00000X Nurse Practitioner (Licence: AR 1798) | |
Enumeration Date | 2006-05-02 |
Last Update Date | 2023-03-07 |