NPI | 1699274746 |
---|---|
Former Name | MARTHE JEHANE MISERE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 669097-1) |
Enumeration Date | 2018-02-05 |
Last Update Date | 2018-02-05 |