| NPI | 1679357529 |
|---|---|
| Former Name | ERIC HARLAN EIMERS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OK 214707) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2024-07-29 |