NPI | 1396464194 |
---|---|
Former Name | ROBIN MARIE FERZELY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2022040256) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 222135) |
Enumeration Date | 2022-08-24 |
Last Update Date | 2023-05-10 |