NPI | 1750970505 |
---|---|
Former Name | CONSTANTIA HERMINA QUEELEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R109930) |
Enumeration Date | 2021-01-15 |
Last Update Date | 2021-02-04 |