NPI | 1639409089 |
---|---|
Former Name | ARIEL HENRIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 6794362-4405) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 6794362-3102) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 6794362-4408) | |
Enumeration Date | 2010-01-07 |
Last Update Date | 2014-07-03 |