NPI | 1710203328 |
---|---|
Former Name | JESSE M SLUTSKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME AP101016) |
Enumeration Date | 2010-04-08 |
Last Update Date | 2020-12-15 |