NPI | 1306373527 |
---|---|
Former Name | SVETLANA KLICHEVSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R114795) |
Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MD r114795) |
Enumeration Date | 2017-05-18 |
Last Update Date | 2023-04-10 |