| NPI | 1013999762 |
|---|---|
| Former Name | CONNIE BOWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA VP004297M) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA VP004297M) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2024-08-29 |