| NPI | 1225862147 |
|---|---|
| Former Name | ROSE MAIDOM PANSAI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10031229) |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-09-02 |