NPI | 1851915086 |
---|---|
Former Name | JENNIFER KALLIGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 7441) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2076278) |
Enumeration Date | 2020-06-03 |
Last Update Date | 2023-10-23 |