| NPI | 1194300038 |
|---|---|
| Former Name | JENNIFER WILLAMSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 255621) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ RN153387) |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2022-01-11 |