NPI | 1962833525 |
---|---|
Former Name | DANA BETH SEIDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992806-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013484) |
Enumeration Date | 2013-12-09 |
Last Update Date | 2017-01-26 |