| NPI | 1154644870 |
|---|---|
| Former Name | ANN MIRETTE DALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2010006113) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NE 115246) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209027374) | |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2025-05-06 |