NPI | 1215554712 |
---|---|
Former Name | JULIA WATERMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME CNP201237) |
Enumeration Date | 2020-06-30 |
Last Update Date | 2020-06-30 |