NPI | 1568147411 |
---|---|
Former Name | ERIKA GAYLE WILLARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60087343) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NV 835021) |
163W00000X Registered Nurse (Licence: WA RN60087343) | |
Enumeration Date | 2023-06-19 |
Last Update Date | 2023-06-19 |