| NPI | 1225791262 |
|---|---|
| Former Name | CAROLYN ROSE WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: FL 9538329) |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2021-10-18 |