| NPI | 1811932387 |
|---|---|
| Former Name | ANNIE MARGARET LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R27319) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R27319) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R27319) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2024-04-19 |