NPI | 1467695106 |
---|---|
Former Name | TAMMY FARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 5590) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0005590-NP) |
Enumeration Date | 2009-04-10 |
Last Update Date | 2024-07-17 |