NPI | 1356837017 |
---|---|
Former Name | DAWN KALOUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CO APN.0993956-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993956-NP) |
Enumeration Date | 2018-07-05 |
Last Update Date | 2022-09-07 |