NPI | 1366144826 |
---|---|
Former Name | JENNIFER HOIT NAGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2277858) |
Enumeration Date | 2023-03-20 |
Last Update Date | 2024-06-21 |