NPI | 1992181085 |
---|---|
Former Name | NATASHA BALLENTINE OBRIST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024172785) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0017142327) |
Enumeration Date | 2015-07-30 |
Last Update Date | 2022-11-28 |