NPI | 1972820504 |
---|---|
Former Name | ANDREA L BULLERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CO APN.0003408-CNM) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CO 160487) |
Enumeration Date | 2010-04-21 |
Last Update Date | 2021-06-22 |