| NPI | 1447247358 |
|---|---|
| Former Name | SANDRA LEE FOLSOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0000549-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0000549-NP) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2016-11-23 |