NPI | 1801376744 |
---|---|
Former Name | MORGAN LEIGH PROBST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61324489) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209017541) |
Enumeration Date | 2018-08-20 |
Last Update Date | 2022-12-12 |