NPI | 1083420673 |
---|---|
Former Name | JENNIFER LIGGETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 38037) |
Additional Taxonomies | 163WH1000X Registered Nurse Hospice (Licence: TN 217609) |
Enumeration Date | 2024-12-09 |
Last Update Date | 2025-01-22 |