NPI | 1154684488 |
---|---|
Former Name | JULIANA MACALUSO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 20967) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 340663) |
Enumeration Date | 2012-06-21 |
Last Update Date | 2012-06-21 |