NPI | 1275933467 |
---|---|
Former Name | LAINE BERNAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0995873-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0187030) |
Enumeration Date | 2014-08-26 |
Last Update Date | 2021-05-12 |