NPI | 1740162205 |
---|---|
Former Name | EMILY DANIELLE KOLENO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP033349) |
Enumeration Date | 2025-07-24 |
Last Update Date | 2025-07-24 |