NPI | 1407175722 |
---|---|
Former Name | SHIMI JOSEPH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11029483) |
Enumeration Date | 2010-05-26 |
Last Update Date | 2024-08-12 |