NPI | 1316242563 |
---|---|
Former Name | NATALIE JO IRWIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 192589) |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CO 192589) |
Enumeration Date | 2011-01-19 |
Last Update Date | 2011-01-19 |