NPI | 1114005113 |
---|---|
Former Name | LISA ECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: DE LE0000168) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR10294800) |
163W00000X Registered Nurse (Licence: DE L10028044) | |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NJ 26NJD014600) | |
Enumeration Date | 2006-11-01 |
Last Update Date | 2021-05-28 |