NPI | 1477840569 |
---|---|
Former Name | MELINDA MCCUSKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0000281-C-NP) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP120518) |
Enumeration Date | 2011-07-08 |
Last Update Date | 2023-04-06 |