| NPI | 1104109511 |
|---|---|
| Other Name | EILEEN ROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 200341912RN) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2016-10-10 |