| NPI | 1902187768 |
|---|---|
| Former Name | KELLY THERESA COLGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.0991295-NP) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2015-02-20 |