NPI | 1043355514 |
---|---|
Former Name | ANN MARY MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WI 111274-030) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2007-07-08 |