NPI | 1376632125 |
---|---|
Former Name | RITA MARGARET CRUDDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP211339) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ME R037173) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2021-09-16 |