| NPI | 1487318721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CO APN.0997624-CNM) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1682103) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: CO APN.0997623-NP) | |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2022-06-17 |