NPI | 1649685322 |
---|---|
Former Name | CHARIS ELIZABETH CONNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 296580) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 270447) |
Enumeration Date | 2014-06-21 |
Last Update Date | 2023-10-04 |