| NPI | 1609937283 |
|---|---|
| Former Name | LINDA P KOVOLISKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 094006553N6 PMHNP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 094006553N6) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2022-11-16 |