| NPI | 1528094406 |
|---|---|
| Other Name | BONITA ROSE PANZL-NIETO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CO 48620) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2648172) |
| 367A00000X Advanced Practice Midwife (Licence: MD 6201) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2021-06-14 |