NPI | 1588297444 |
---|---|
Former Name | ROSALIE FRANCESCA GAMMELGAARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP6106042) |
Enumeration Date | 2020-02-19 |
Last Update Date | 2020-02-19 |