NPI | 1164754925 |
---|---|
Former Name | EVELYN GLENNYS HELSETH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9259806) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL ARNP9259806) |
Enumeration Date | 2010-02-04 |
Last Update Date | 2023-11-08 |