NPI | 1871354696 |
---|---|
Former Name | ABAGAIL ERICKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 9961773) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: ID 55750) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2024-01-18 |
Last Update Date | 2025-01-16 |