| NPI | 1386643633 |
|---|---|
| Former Name | MARQUERITE FABERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WV 59685) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2013-05-15 |