NPI | 1811886351 |
---|---|
Former Name | MARY ELLEN BAIRD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CO C-APN.0104585-C-NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO C-APN.0104585-C-NP) |
363LP2300X Nurse Practitioner, Primary Care (Licence: CO C-APN.0104585-C-NP) | |
Enumeration Date | 2025-06-30 |
Last Update Date | 2025-07-11 |