| NPI | 1467639492 |
|---|---|
| Former Name | MIA RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: WA RN00169132) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |