NPI | 1740742998 |
---|---|
Former Name | ERIN E RAYMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2019011521) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2012024437) |
363LF0000X Nurse Practitioner, Family (Licence: MO 2019011521) | |
Enumeration Date | 2019-04-04 |
Last Update Date | 2023-05-16 |