NPI | 1215362116 |
---|---|
Former Name | AUDREY MESKILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5006472) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NC 126250) |
Enumeration Date | 2013-09-10 |
Last Update Date | 2020-03-10 |