| NPI | 1194961979 |
|---|---|
| Former Name | COLLEEN GAIL CONOVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9472930) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00178900) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00178900) | |
| Enumeration Date | 2008-12-26 |
| Last Update Date | 2024-05-29 |