NPI | 1770181562 |
---|---|
Former Name | LAUREN KRISTINE CONTILLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0994167-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1620047) |
Enumeration Date | 2020-10-14 |
Last Update Date | 2020-10-14 |