NPI | 1598429540 |
---|---|
Former Name | JOELLE BOARMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3016803) |
Enumeration Date | 2021-10-26 |
Last Update Date | 2024-01-11 |