NPI | 1306980529 |
---|---|
Former Name | SUSAN WHITTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 365058) |
Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 365058) |
Enumeration Date | 2007-02-19 |
Last Update Date | 2007-07-08 |