NPI | 1245200195 |
---|---|
Former Name | KATHLEEN MARIE FOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: RI RN29402) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: RI RN29402) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 162260) | |
Enumeration Date | 2006-01-24 |
Last Update Date | 2018-03-17 |