NPI | 1417459108 |
---|---|
Former Name | MICHELLE COWLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0998383-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NM 75431) |
Enumeration Date | 2018-03-08 |
Last Update Date | 2023-12-12 |