NPI | 1144558412 |
---|---|
Former Name | JULIE BROOKE BOOHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 14372) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14372) |
Enumeration Date | 2009-11-25 |
Last Update Date | 2024-07-10 |