| NPI | 1366089658 |
|---|---|
| Former Name | MARIA MICHELLE WATSON-SANDMIRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WI 131775-30) |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |