NPI | 1477263994 |
---|---|
Former Name | KARI ELAINE EDICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 34693) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 266204) |
Enumeration Date | 2022-11-28 |
Last Update Date | 2024-12-11 |