NPI | 1265073928 |
---|---|
Former Name | JUNIE DESIRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 11004358) |
Enumeration Date | 2019-10-03 |
Last Update Date | 2025-03-17 |