NPI | 1275111783 |
---|---|
Former Name | RAEGAN A LAYHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 53587) |
Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WY 53587) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-29 |
Last Update Date | 2024-01-05 |