| NPI | 1609938182 |
|---|---|
| Former Name | COLEEN HUMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0041) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R19160) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2019-10-25 |