NPI | 1689829020 |
---|---|
Former Name | COURTNY ELIZABETH EAST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN 735) |
Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: HI APRN 735) |
Enumeration Date | 2008-11-26 |
Last Update Date | 2015-07-10 |