| NPI | 1548552904 |
|---|---|
| Former Name | VIRGINIA CARYL OTTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN0990068-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO NP990068) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2020-07-24 |