NPI | 1396783320 |
---|---|
Former Name | MICHELE JANE ELCANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MD R057725) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2007-12-06 |