NPI | 1063782019 |
---|---|
Other Name | BRENDA YVONNE GROGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 120135) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 120135) |
Enumeration Date | 2012-01-09 |
Last Update Date | 2025-03-21 |