NPI | 1235646860 |
---|---|
Former Name | JOSEPHINE GRABOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60818388) |
Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: WA AP60818388) |
Enumeration Date | 2018-01-04 |
Last Update Date | 2018-06-16 |