NPI | 1245277094 |
---|---|
Former Name | PATRICIA ANN WORTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: MD R063595) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2007-07-08 |