NPI | 1902657406 |
---|---|
Other Name | PAIGE CECILIA JUST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704349086) |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-04-01 |