NPI | 1316532112 |
---|---|
Former Name | EMILY MANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP023247) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA SP023247) |
Enumeration Date | 2021-03-03 |
Last Update Date | 2023-06-30 |