NPI | 1760255210 |
---|---|
Other Name | GENEVIEVE LOOSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP032618) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN568772) |
Enumeration Date | 2023-11-06 |
Last Update Date | 2025-07-02 |