NPI | 1467732990 |
---|---|
Former Name | PAIGE KATHLEEN MESHISHNEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201150105NP) |
Enumeration Date | 2011-08-29 |
Last Update Date | 2018-04-09 |