NPI | 1164719464 |
---|---|
Former Name | PHYLLIS ANN PAGLIARO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0997029-NP) |
Enumeration Date | 2011-07-07 |
Last Update Date | 2025-09-15 |