| NPI | 1962160796 |
|---|---|
| Former Name | SELENE MEYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0997107-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0997107-NP) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2022-01-24 |