NPI | 1407365364 |
---|---|
Former Name | HILAIRE BRICE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 163WR0400X Registered Nurse, Rehabilitation (Licence: FL 9243371) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL 9243371) |
Enumeration Date | 2017-09-22 |
Last Update Date | 2017-09-26 |