NPI | 1710357900 |
---|---|
Former Name | ERIKA S MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 8506-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 223907) |
163W00000X Registered Nurse (Licence: MA 2303712) | |
163W00000X Registered Nurse (Licence: IL 041.451974) | |
Enumeration Date | 2015-09-30 |
Last Update Date | 2020-11-23 |