| NPI | 1881093607 |
|---|---|
| Former Name | MICHELLE KOBDISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO C-APN.0000456-C-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX AP125990) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2023-01-20 |