NPI | 1134414535 |
---|---|
Former Name | PAULA SIDER-BLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06616) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP06616) |
Enumeration Date | 2011-06-14 |
Last Update Date | 2022-10-21 |