| NPI | 1457134678 |
|---|---|
| Former Name | ERIN LEE TELANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2024030370) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R51586) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-08-12 |