NPI | 1902531908 |
---|---|
Former Name | JENNY RENEE BOYD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997492-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0997492) |
Enumeration Date | 2022-07-22 |
Last Update Date | 2024-12-19 |