NPI | 1679129530 |
---|---|
Former Name | ALYSSA K LINDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G156065) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA G156065) |
Enumeration Date | 2019-08-15 |
Last Update Date | 2019-08-15 |