NPI | 1982024568 |
---|---|
Professional Name | IZABELLA WALDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11004907) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9258093) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11004907) | |
Enumeration Date | 2014-04-22 |
Last Update Date | 2020-12-02 |