NPI | 1467619296 |
---|---|
Former Name | LESLIE DIANE HOLM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0101333-C-NP) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95012547) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MN R172346-7) | |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CO C-RXN.0100933-C-NP) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-02767) | |
Enumeration Date | 2008-05-20 |
Last Update Date | 2024-08-01 |