NPI | 1730421009 |
---|---|
Former Name | VERENA KNOWLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5005679) |
Enumeration Date | 2013-03-25 |
Last Update Date | 2018-08-17 |