NPI | 1699707455 |
---|---|
Other Name | LAVENE GAIL DUSSERE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001078852) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2007-07-08 |