NPI | 1326468943 |
---|---|
Former Name | SHREELA JOLLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0003039-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 101052) |
Enumeration Date | 2014-04-22 |
Last Update Date | 2019-05-20 |