| NPI | 1790935773 |
|---|---|
| Former Name | NATALIE AMANDA MOKOHONUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2274358) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2021-08-18 |