NPI | 1033730916 |
---|---|
Former Name | JULIE TARBILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G159114) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 129946) |
Enumeration Date | 2020-05-01 |
Last Update Date | 2021-03-25 |