| NPI | 1114188620 |
|---|---|
| Former Name | JOANN DORACE FIKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: MD RO42716) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |