NPI | 1588939706 |
---|---|
Former Name | KARA JEN LAIBLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NE 111339) |
Enumeration Date | 2012-03-21 |
Last Update Date | 2016-12-30 |