NPI | 1780398727 |
---|---|
Former Name | YVETTE N MBORINGONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R223803) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R223803) |
Enumeration Date | 2023-01-12 |
Last Update Date | 2023-12-05 |