NPI | 1417372756 |
---|---|
Former Name | MARY-ANN BOUTHILLIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CT E32489) |
Enumeration Date | 2014-02-24 |
Last Update Date | 2014-02-24 |