| NPI | 1134956113 |
|---|---|
| Former Name | DARRYLLYNN FOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: ME RN68985) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |