NPI | 1326343682 |
---|---|
Former Name | MICHELLE ELIZABETH BEHNEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 990076) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CO 177951) |
Enumeration Date | 2011-01-18 |
Last Update Date | 2013-07-01 |