NPI | 1922311562 |
---|---|
Former Name | COURTNEY JEAN CHRISTENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 10324) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 107655) |
Enumeration Date | 2010-07-25 |
Last Update Date | 2016-04-06 |