| 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) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2022-10-04 |