NPI | 1326513888 |
---|---|
Former Name | KIM ANN MILLER JAKOPAC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA RN310403L) |
Enumeration Date | 2018-10-10 |
Last Update Date | 2018-10-10 |