| NPI | 1164971586 |
|---|---|
| Former Name | JUDITH WING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN9179350) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: FL RN9179350) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2017-03-07 |