NPI | 1952344798 |
---|---|
Former Name | CAROLYN J COTHRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0994481-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 82751) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2019-07-17 |