| NPI | 1073861787 |
|---|---|
| Former Name | MALI C.S. WOLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0991823-NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2276583) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2019-11-27 |