NPI | 1730153263 |
---|---|
Former Name | MARTHA A RYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA 152101) |
Enumeration Date | 2006-02-13 |
Last Update Date | 2012-08-14 |