| NPI | 1801314356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-148777) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1637541) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2021-11-18 |