NPI | 1013157767 |
---|---|
Former Name | JENNIFER EKUA ENCHILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 14531) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN RN167685) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 6696-33) | |
Enumeration Date | 2009-02-20 |
Last Update Date | 2016-02-05 |