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