NPI | 1093098956 |
---|---|
Former Name | JENNIFER YUCHNITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 16129) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024187069) |
Enumeration Date | 2011-09-27 |
Last Update Date | 2023-06-14 |