NPI | 1720787989 |
---|---|
Former Name | STEPHANIE ALLISON LINSENMEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 298825) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1111392) |
Enumeration Date | 2023-02-27 |
Last Update Date | 2025-02-21 |