| NPI | 1548339625 |
|---|---|
| Other Name | BONITA G ROCHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA VP000164F) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |