NPI | 1386788511 |
---|---|
Former Name | RUTH NICHOLS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 484519) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 484519) |
Enumeration Date | 2007-02-19 |
Last Update Date | 2007-07-08 |