NPI | 1447786769 |
---|---|
Former Name | DAWN LITHERLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F405921) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 516271) |
Enumeration Date | 2017-05-05 |
Last Update Date | 2025-01-17 |