NPI | 1154002608 |
---|---|
Former Name | ALISON JOYCE AMBURGEY-DAHLBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704273861) |
Enumeration Date | 2023-07-27 |
Last Update Date | 2024-06-28 |