NPI | 1851869812 |
---|---|
Former Name | COURTNEY CRAIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71008527A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008527A) |
Enumeration Date | 2018-11-08 |
Last Update Date | 2024-06-05 |