NPI | 1467053298 |
---|---|
Former Name | SANTISSA HARPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA GAA-NP000165) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 2014036581) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 265543) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2021011345) | |
Enumeration Date | 2020-11-06 |
Last Update Date | 2024-10-01 |