NPI | 1023738135 |
---|---|
Former Name | DEBORAH MAAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 4704310119) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704310119) |
Enumeration Date | 2022-08-30 |
Last Update Date | 2022-08-30 |