| NPI | 1306615885 |
|---|---|
| Former Name | ELIZABETH KORTU SEGRAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN203894) |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |