| NPI | 1619369816 |
|---|---|
| Former Name | ELIZABETH ANN KINBERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP08224) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 101139) |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2022-07-21 |