| NPI | 1740640309 |
|---|---|
| Former Name | LATIA M COLVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00620600) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NJ 26NR17683300) |
| 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00620600) | |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2024-02-06 |