NPI | 1699196527 |
---|---|
Former Name | AISHA STEVENSON RYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 87515) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024176974) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC003049) | |
Enumeration Date | 2013-12-19 |
Last Update Date | 2023-03-08 |