NPI | 1639696792 |
---|---|
Former Name | HILLARY PAWULAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 092840-23) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 1010132681) |
Enumeration Date | 2017-08-29 |
Last Update Date | 2024-01-11 |