| NPI | 1912663758 |
|---|---|
| Former Name | CARI ANN LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 1912663758) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 217960) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2024-05-21 |