NPI | 1811566730 |
---|---|
Former Name | LINDA DEHAAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5016282) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 311411) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5016282) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 24184725) | |
Enumeration Date | 2021-06-24 |
Last Update Date | 2025-01-16 |