NPI | 1467754846 |
---|---|
Former Name | KAREN MARIE MAYBERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 200342307RN) |
Enumeration Date | 2010-11-17 |
Last Update Date | 2010-11-17 |