NPI | 1376579888 |
---|---|
Former Name | GEORGIA K. DOAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AZ RN095240) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2007-07-08 |