NPI | 1215149794 |
---|---|
Former Name | MARYANNE O'CONNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MD R058479) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2007-07-09 |