NPI | 1740648344 |
---|---|
Former Name | CHARLISA BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0003579-C-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 147386) |
163W00000X Registered Nurse (Licence: CO 1636968) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 208625) | |
Enumeration Date | 2016-02-10 |
Last Update Date | 2024-04-26 |