NPI | 1740406230 |
---|---|
Former Name | HELEN ROSELLA JAGIELO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 990400) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 16551) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 03590) | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2024-08-22 |