NPI | 1508346321 |
---|---|
Former Name | LEE-ANNE KILIAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402826-01) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 530706-1) |
Enumeration Date | 2018-08-21 |
Last Update Date | 2020-02-05 |