NPI | 1922152438 |
---|---|
Former Name | JULIA DEMETRIOUS WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CA 494412) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2007-07-08 |