NPI | 1003345513 |
---|---|
Former Name | ABIGAIL ROSE SINDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN APN29704) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN216580) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2021-07-20 |