NPI | 1912371907 |
---|---|
Former Name | ALBINA KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.013565) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.013565) |
Enumeration Date | 2015-11-14 |
Last Update Date | 2024-04-19 |