NPI | 1356885644 |
---|---|
Former Name | KENDALL A LYONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 7364) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 721673) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402371-1) | |
Enumeration Date | 2016-12-06 |
Last Update Date | 2021-10-22 |