NPI | 1053486274 |
---|---|
Former Name | GINA M HOUSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN14084) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN87906) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2009-04-20 |