NPI | 1578179388 |
---|---|
Former Name | KIRA GIROUX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 29857) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61097477) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 904001) | |
Enumeration Date | 2020-09-17 |
Last Update Date | 2022-03-24 |