NPI | 1336572387 |
---|---|
Former Name | VALENTINA CAVDARSKA-SHAMPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ00453700) |
Enumeration Date | 2013-08-13 |
Last Update Date | 2018-06-22 |