NPI | 1285187781 |
---|---|
Former Name | CARROLL NSUBUGA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 6580) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 12.006580) |
Enumeration Date | 2016-08-01 |
Last Update Date | 2024-01-25 |