NPI | 1710701156 |
---|---|
Former Name | CARLI RENE SAWYER-VANDENHOUTEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10032604) |
Enumeration Date | 2024-11-12 |
Last Update Date | 2024-11-20 |