NPI | 1740454354 |
---|---|
Former Name | ROSELYN MUTIZWA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN266311) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 132846) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2024-12-27 |