NPI | 1861554701 |
---|---|
Former Name | ELIZABETH W HUSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5005415) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005415) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2024-07-06 |