NPI | 1346774478 |
---|---|
Former Name | EMILY MICHALSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 128560) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 37081) |
Enumeration Date | 2017-04-15 |
Last Update Date | 2023-03-13 |