| NPI | 1598429540 |
|---|---|
| Former Name | JOELLE BOARMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3016803) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3016803) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2024-08-30 |