| NPI | 1609317049 |
|---|---|
| Former Name | COLLEEN BOWERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017017452) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MO 2017017452) |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2020-09-11 |