NPI | 1407560857 |
---|---|
Former Name | SAVANNAH ELIZABETH-MARIE DELANCEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023000935) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2023000935) |
363LF0000X Nurse Practitioner, Family (Licence: MO 2023000935) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 223532) | |
Enumeration Date | 2023-01-10 |
Last Update Date | 2023-05-10 |