NPI | 1164939203 |
---|---|
Former Name | KARA ELIZABETH MEHNERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402448) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 659605) |
Enumeration Date | 2018-01-10 |
Last Update Date | 2023-05-10 |