| NPI | 1154903680 |
|---|---|
| Former Name | LAKISHA MONIKE STEVENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405244) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 30055) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 904795) | |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2024-08-29 |