| NPI | 1508310558 |
|---|---|
| Former Name | MARLENE ALICE IMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0993043-NP) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2023-05-03 |