NPI | 1538727888 |
---|---|
Former Name | KALI ANNE SHAROT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 7454) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN 190179-30) |
Enumeration Date | 2019-06-02 |
Last Update Date | 2022-01-03 |