NPI | 1255809893 |
---|---|
Former Name | ALISHA CHRISTINE KENDALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61098756) |
Enumeration Date | 2018-11-12 |
Last Update Date | 2022-01-11 |