NPI | 1255748141 |
---|---|
Former Name | PAMELA JOSEPH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA RN235262) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN235262) |
Enumeration Date | 2014-07-13 |
Last Update Date | 2014-07-13 |