NPI | 1255830543 |
---|---|
Former Name | PENNINAH GLADYS ALWENY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA RN2282883) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2282883) |
Enumeration Date | 2018-02-01 |
Last Update Date | 2022-07-20 |