NPI | 1023493939 |
---|---|
Former Name | KATHERINE BRANDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0992076-NP) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO RN.1617420) |
Enumeration Date | 2015-07-22 |
Last Update Date | 2019-01-18 |