NPI | 1487356119 |
---|---|
Former Name | LINNEA JOFFE-NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2358486) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2358486) |
Enumeration Date | 2023-03-20 |
Last Update Date | 2023-07-13 |