NPI | 1639649544 |
---|---|
Former Name | HOLLI MARIE YUCHKOVSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9396034) |
Enumeration Date | 2018-12-04 |
Last Update Date | 2018-12-04 |