| NPI | 1023797016 |
|---|---|
| Former Name | COLLEEN BOZENA PADYKULA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12195) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 154455) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-04-26 |