NPI | 1356120893 |
---|---|
Former Name | MILDRED EMPISO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 220514) |
Enumeration Date | 2023-09-25 |
Last Update Date | 2023-09-25 |