NPI | 1679047294 |
---|---|
Former Name | LOUISE D'AMATO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP022848) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN684405) |
Enumeration Date | 2019-01-16 |
Last Update Date | 2021-04-21 |