| NPI | 1013070077 |
|---|---|
| Former Name | MARY ELLEN TARDIFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NH 030792-21) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |