NPI | 1346088333 |
---|---|
Former Name | MERCY CHACHA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F406101) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 722289) |
Enumeration Date | 2024-07-16 |
Last Update Date | 2024-07-29 |