NPI | 1154436608 |
---|---|
Former Name | JUDITH RAWLEIGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA UP004792D) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2007-07-08 |