NPI | 1841673290 |
---|---|
Former Name | KADIJA JALLOH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024172714) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172714) |
Enumeration Date | 2015-07-02 |
Last Update Date | 2023-12-28 |