NPI | 1194208256 |
---|---|
Former Name | JAMIE L GURRAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61458047) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60667260) |
Enumeration Date | 2018-09-13 |
Last Update Date | 2024-06-11 |