NPI | 1013249994 |
---|---|
Former Name | KANDICE KLOREN MANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 406724) |
Enumeration Date | 2010-02-03 |
Last Update Date | 2025-08-08 |