NPI | 1205264454 |
---|---|
Former Name | SELINA R HUNT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 2135) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: SC 2135) |
363L00000X Nurse Practitioner (Licence: SC 2135) | |
Enumeration Date | 2013-10-25 |
Last Update Date | 2019-12-23 |