| NPI | 1336611169 |
|---|---|
| Other Name | GHIRMAY HAILE GHEBRESLASSE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NM 55118) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM RN-80088) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2021-10-28 |