| NPI | 1083268742 |
|---|---|
| Former Name | COLLEEN PARNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 189734) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95010042) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2022-06-29 |