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