NPI | 1366058224 |
---|---|
Former Name | JESSE KIRGIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 164536) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AK 164536) |
Enumeration Date | 2020-09-16 |
Last Update Date | 2024-08-09 |