NPI | 1548379167 |
---|---|
Former Name | ELAINE FRANCES ROSENBAUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60281358) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60281356) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 1958114405) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704282640) | |
Enumeration Date | 2006-08-29 |
Last Update Date | 2019-08-13 |