| NPI | 1881223600 |
|---|---|
| Former Name | JULIE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: KS 13-78942) |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |