| NPI | 1336700491 |
|---|---|
| Former Name | ROXANNE JO WILLIAMSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 11444) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2509054) |
| 163W00000X Registered Nurse (Licence: WY 37941) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 54319) | |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2024-05-29 |