NPI | 1649695560 |
---|---|
Other Name | PASCALE KIDANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9178816) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 239634) |
Enumeration Date | 2014-02-28 |
Last Update Date | 2024-01-22 |