NPI | 1255030516 |
---|---|
Former Name | ERIN PAIGE ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4010911) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1140495) |
Enumeration Date | 2023-02-27 |
Last Update Date | 2024-06-25 |