NPI | 1346732617 |
---|---|
Former Name | CATHERINE ANN MASHBURN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN115814) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN115814) |
Enumeration Date | 2018-06-03 |
Last Update Date | 2022-06-01 |