NPI | 1699077123 |
---|---|
Former Name | JULIE MARGARET KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 95009591) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 401236) |
Enumeration Date | 2010-12-05 |
Last Update Date | 2023-04-03 |