NPI | 1548839178 |
---|---|
Former Name | JULIE ANN VARAO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MI 4704375641) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703123095) |
Enumeration Date | 2021-06-18 |
Last Update Date | 2021-06-26 |