| NPI | 1558035402 |
|---|---|
| Former Name | NOAH JOSEPH SALMON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 280851) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2024-11-18 |