| NPI | 1053500355 |
|---|---|
| Former Name | DOROTHY VALIN OSGOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IL 209-004105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-281367) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: IL 209.004105) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2018-07-24 |