NPI | 1942974282 |
---|---|
Former Name | LORNA STEPHENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3016396) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3016396) |
Enumeration Date | 2021-08-02 |
Last Update Date | 2024-07-09 |