NPI | 1285327627 |
---|---|
Former Name | JAMIE FASSLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: NM RN-86959) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NM RN-86959) |
Enumeration Date | 2023-05-31 |
Last Update Date | 2023-08-31 |