NPI | 1366976318 |
---|---|
Former Name | TERRI RUST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP3066552) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3066552) |
Enumeration Date | 2017-04-17 |
Last Update Date | 2024-08-01 |