NPI | 1720698335 |
---|---|
Former Name | DANIKA LEIGH DAHLBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IA G160179) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G160179) |
Enumeration Date | 2020-08-07 |
Last Update Date | 2022-06-01 |