NPI | 1629579107 |
---|---|
Former Name | ABIGAIL C SPEIGHTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 120140) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP09861) |
Enumeration Date | 2018-02-21 |
Last Update Date | 2019-08-16 |