NPI | 1881160141 |
---|---|
Former Name | LIANNE MAUPIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP002641) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-140968) |
Enumeration Date | 2018-10-15 |
Last Update Date | 2024-09-19 |