NPI | 1568899268 |
---|---|
Former Name | ELLEN ALVES NERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175993) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175993) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI 1642) | |
Enumeration Date | 2013-09-26 |
Last Update Date | 2023-01-20 |