NPI | 1962019224 |
---|---|
Former Name | CHRISTINA LAPHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 08765723) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 12.009183) |
Enumeration Date | 2020-09-30 |
Last Update Date | 2023-05-03 |