NPI | 1720509730 |
---|---|
Former Name | APRIL DVORAK KOIBRIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202205234np-pp) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95016642) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP134262) | |
Enumeration Date | 2017-06-29 |
Last Update Date | 2023-12-09 |