NPI | 1780715870 |
---|---|
Former Name | DIANE ELIZABETH CROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN RN77311) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2009-06-15 |