NPI | 1518485986 |
---|---|
Former Name | HARLIE COZAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 7545) |
Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MN 214777-0) |
Enumeration Date | 2017-09-06 |
Last Update Date | 2022-07-13 |