NPI | 1235782129 |
---|---|
Former Name | ABIGAIL JEANNE MARCUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WA RN60361489) |
Enumeration Date | 2019-07-19 |
Last Update Date | 2019-07-19 |