| NPI | 1376579888 |
|---|---|
| Former Name | GEORGIA K. DOAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: AZ RN095240) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-07-08 |