NPI | 1104069400 |
---|---|
Former Name | JAIME JEANETTE HORONJEFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 272291) |
Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA RN272291) |
Enumeration Date | 2009-04-16 |
Last Update Date | 2024-09-17 |