| NPI | 1578964037 |
|---|---|
| Former Name | SONJA LEA MANGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78895-032) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-120877-032) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 114204) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 2022003048) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 2022003048) | |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2024-02-15 |