| NPI | 1841621570 |
|---|---|
| Former Name | MARY COMSTOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO APN.0997272-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1679356) |
| 163W00000X Registered Nurse (Licence: NM R65964) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NM CNP-02315) | |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2022-08-22 |