NPI | 1407405566 |
---|---|
Professional Name | BOBBI JO DURST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 9590-33) |
Enumeration Date | 2019-09-10 |
Last Update Date | 2019-09-10 |