NPI | 1033541081 |
---|---|
Former Name | MONIQUE YEVETTE FARMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 224762-30) |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 224762-30) |
Enumeration Date | 2013-08-01 |
Last Update Date | 2024-03-06 |