NPI | 1396409637 |
---|---|
Former Name | INGRID ALLISON LEVY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11031001) |
Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: FL RN9509685) |
Enumeration Date | 2021-10-22 |
Last Update Date | 2024-03-05 |