NPI | 1699131243 |
---|---|
Former Name | CHRISTINA PEYTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0000140) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0037990) |
Enumeration Date | 2016-01-12 |
Last Update Date | 2020-03-11 |