| NPI | 1174909865 |
|---|---|
| Former Name | PRISCILLA MAY RAINER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS R885513 CN) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |