NPI | 1568977130 |
---|---|
Former Name | ANDREA LYNN DUNKEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 29246) |
Enumeration Date | 2017-12-05 |
Last Update Date | 2023-10-03 |