| NPI | 1639733256 |
|---|---|
| Former Name | MICHAELINA FORSHEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: ID 45905) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-04-29 |