NPI | 1538451729 |
---|---|
Former Name | KRISTEN ANN MOELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201042548RN) |
Enumeration Date | 2011-05-06 |
Last Update Date | 2011-05-06 |