NPI | 1760209340 |
---|---|
Other Name | LISA GAIL BOHON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-83594-072) |
Enumeration Date | 2024-09-24 |
Last Update Date | 2025-09-08 |