NPI | 1932785920 |
---|---|
Former Name | CHRISTA MATTHEWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0998089-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP022653) |
Enumeration Date | 2021-03-22 |
Last Update Date | 2023-01-17 |